Mr Harry Jeffery Fulton, LMSW | |
3405 Westwood Pkwy, Flint, MI 48503-4686 | |
(810) 232-8466 | |
Not Available |
Full Name | Mr Harry Jeffery Fulton |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 28 Years |
Location | 3405 Westwood Pkwy, Flint, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053570804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801072235 (Michigan) | Secondary |
104100000X | Social Worker | 6801072235 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Taylor Psychological Clinic P C | 6901813955 | 4 |
Entity Name | Catholic Charities Of Shiawassee And Genesee Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801819149 PECOS PAC ID: 9537158068 Enrollment ID: O20040510001415 |
Entity Name | Taylor Psychological Clinic P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134203797 PECOS PAC ID: 6901813955 Enrollment ID: O20140815000821 |
Entity Name | Kimberly B Lavender, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667397 PECOS PAC ID: 5193048833 Enrollment ID: O20150102001378 |
Mailing Address | Practice Location Address |
---|---|
Mr Harry Jeffery Fulton, LMSW Po Box 10, Mason, MI 48854-0010 Ph: () - | Mr Harry Jeffery Fulton, LMSW 3405 Westwood Pkwy, Flint, MI 48503-4686 Ph: (810) 232-8466 |
Danielle S. Lied, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2830 Corunna Rd, Flint, MI 48503 Phone: 810-235-6812 | |
Jessica Knopp, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1420 University Ave, Flint, MI 48504 Phone: 810-238-0475 | |
Chanceya Nachelle Shelton, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 529 Martin Luther King Blvd, Flint, MI 48502 Phone: 810-238-7226 Fax: 810-239-5518 | |
Mr. Ryan Christopher Ploch, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2830 Corunna Rd, Flint, MI 48503 Phone: 810-235-6812 | |
Ms. Dammiona Nicole Cromedy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 108, Flint, MI 48503 Phone: 810-232-2766 | |
Mrs. Vicki Lynn Tims, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 W 5th Ave, Flint, MI 48503 Phone: 810-496-5330 Fax: 810-762-5234 | |
Kimberly Ann Campbell, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2702 Flushing Rd, Flint, MI 48504 Phone: 810-424-5998 Fax: 810-424-6347 |